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<br />~.. ..... <br /> <br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />~BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />fJl1~~o ;:6/1/ (;~ <br />t.,Lz.j-~ /'tV'A s7, <br /> <br />eo. <br /> <br />APPLICANT <br /> <br />PHONE <br /> <br />OWNER /1-~ r s r v t.J 1:. '-- L <br />JOB LOCATION S-~~l &.3IG-1l! s/1 <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D .l~ <br /> <br />WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____I'Iove <br /> <br />_Demolish <br /> <br />_Commercial <br /> <br />____Indust. <br /> <br />_Swim. Pool <br /> <br />__1'1/11 <br />1"E,de: ~ Other <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_l~ of Uni ts <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMl'1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORtIS. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />S/,s-OO,00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_"l.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PUJMBIN"G <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company PI/Sev ,ct€,J(;e eo,. <br />State Cert. or Regist. 0 <br />City License Registration !! Sr'E-t! /9 L <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. Q <br />City License Registration 0 <br />****************************************** <br /> <br />Si!mature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. i! <br />,City License Registration # <br />*************************************~**** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registr~tiorr 0 <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY, <br /> <br /> <br />PERl-lIT OFFICER. <br /> <br />.. <br /> <br />.. <br />